Martel Eye Institute LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

CA106056 Issued in CA

Legal business name

MARTEL EYE INSTITUTE LLC

Practice address

11216 Trinity River Dr
Rancho Cordova, CA 95670-2968

Phone

(916) 631-7868

Fax

(916) 631-3788

NPI assigned

Sep 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph R Martel, MD

Title

Ceo

Phone

(916) 631-7868

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MARTEL EYE INSTITUTE LLC Doing business as

Tax ID family

Martel Eye Institute LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martel Eye Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Rancho Cordova, CA
  • NPI 1629376207
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154849495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 TRINITY RIVER DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702968",
            "telephone_number": "916-631-7868",
            "fax_number": "916-631-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 TRINITY RIVER DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702968",
            "telephone_number": "916-631-7868",
            "fax_number": "916-631-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTEL EYE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-631-7868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "CA106056",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629376207",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURANCE",
            "identifier": "1629376207",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTEL EYE INSTITUTE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Manuele
• Jack Marie
• Marine Chakhoyan
• Marlana Pierson Family Therapy Inc.
• Stuart Marshall
• Martel Eye Institute LLC
• James B Martel, MD
• Joseph R Martel, MD
• Jessica T Martinez Contreras
• Paola Elizabeth Martinez Guizado

• Ambulatory Surgical Clinic/Center in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.